The critical care costs of the Influenza A/H1N1 2009 epidemic in Australia and New Zealand

Higgins, A. M., Pettila, V., Harris, A. H., Bailey, M., Lipman, J., Seppelt, I. M. and Webb, S. A. (2011) The critical care costs of the Influenza A/H1N1 2009 epidemic in Australia and New Zealand. Anaesthesia and Intensive Care, 39 3: 384-391.

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads
Author Higgins, A. M.
Pettila, V.
Harris, A. H.
Bailey, M.
Lipman, J.
Seppelt, I. M.
Webb, S. A.
Title The critical care costs of the Influenza A/H1N1 2009 epidemic in Australia and New Zealand
Journal name Anaesthesia and Intensive Care   Check publisher's open access policy
ISSN 0310-057X
1448-0271
Publication date 2011-05
Sub-type Article (original research)
Volume 39
Issue 3
Start page 384
End page 391
Total pages 8
Place of publication Edgecliff, NSW, Australia
Publisher Australian Society of Anaesthetists
Collection year 2012
Language eng
Abstract The aim of this study was to determine the critical care and associated hospital costs for 2009 influenza A/H1N1 patients admitted to intensive care units (ICU) in Australia and New Zealand during the southern hemisphere winter. All 762 patients admitted to ICUs in Australian and New Zealand between 1 June and 31 August 2009 with confirmed 2009 H1N1 influenza A were included. Costs were assigned based on ICU and hospital length-of-stay, using data from a single Australian ICU which estimated the daily cost of an ICU bed, along with published costs for a ward bed. Additional costs were assigned for allied health, overheads and extracorporeal membrane oxygenation services. The median (interquartile range) ICU and total hospital costs per patient were AU$35,942 ($10,269 to $82,152) and AU$51,294 ($22,849 to $110,340) respectively, while the mean (standard deviation) ICU and total hospital costs per patient were AU$63,298 ($78,722) and AU$85,395 ($147,457), respectively. A multivariate analysis found death was significantly associated with a reduction in the log of total costs, while the use of mechanical ventilation and ICU admission with viral pneumonitis/acute respiratory distress syndrome or secondary bacterial pneumonia were significantly associated with an increase in the log of total costs. The cost of 2009 H1N1 patients in ICU was significantly higher than the previously published costs for an average ICU admission, and the total cost of treating 2009 H1N1 patients in ICU admitted during winter 2009 was more than $65,000,000.
Keyword Pandemic
Influenza A
Cost
Intensive care
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 13 Mar 2012, 17:30:27 EST by Sia Athanasas on behalf of Anaesthesiology and Critical Care - RBWH